Organization Active NPI

James W. Porter II, DMD, LLC

  • General Practice Dentistry
  • Albertville, AL
National Provider Identifier
1346404712
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3886 Issued in AL
Legal business name
JAMES W. PORTER II, DMD, LLC
Practice address
100 Andrew St Ste a
Albertville, AL 35950-1964
Phone
(256) 878-9200
Fax
(256) 878-9200
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James W Porter II, DMDNPI 1639383128
Title
Owner
Phone
(256) 879-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3886 AL Primary

Addresses

Primary practice location

100 Andrew St Ste a
Albertville, AL 35950-1964

Mailing address

100 Andrew St Ste a
Albertville, AL 35950-1964
Phone (256) 878-9200

Other identifiers 1

IdentifierTypeStateIssuer
008406370MedicaidAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1346404712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ANDREW ST STE A",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501964",
            "telephone_number": "256-878-9200",
            "fax_number": "256-878-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ANDREW ST STE A",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501964",
            "telephone_number": "256-878-9200",
            "fax_number": "256-878-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W. PORTER II, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-879-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008406370",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.